Objective: The aim of this study was to evaluate patient knowledge and asse
ss the management of angina for patients receiving sublingual glyceryl trin
itrate (GTN)
Method: Prospective data collection and patient interview was undertaken in
17 community pharmacies.
Results: During the study 488 angina patients presented to the participatin
g pharmacies. Data were collected for 347 patients receiving sublingual GTN
. Problems with administration technique were identified for 108 patients (
31%) and knowledge of when to seek medical help appropriately after failed
GTN use was unsure for 134 patients (39%) or poor for 88 patients (25%). Ei
ghty five patients (24%) were not receiving regular symptomatic therapy. As
pirin was prescribed or purchased by 253 patients (73%). Seven pharmacies p
articipated in GP referral (data collected for 201 patients); 31 patients (
15%) were referred usually with a recommendation to add aspirin. The outcom
e of 20 of these referrals was assessed; advice was taken for 13 patients,
3 patients failed to attend GP, aspirin was contraindicated for 3 patients
and one patient already attended pharmacist medication review.
Conclusion: This study demonstrated the potential contribution community ph
armacists could make at the time of dispensing to the management of patient
s with angina.